| NPI | 1316976699 |
|---|---|
| Doing Business As | COFFEE WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | STARLA SUTTON Pso 912-338-5263 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2012-12-11 |